BROOKSBY MEDICAL CENTER
NPI 1164442919
Internal Medicine in Peabody, MA

Active since July 21, 2006CLIA 22D0974796 · Waiver
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960(978) 536-7850(978) 536-7051 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brooksby Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKSBY MEDICAL CENTER (NPI 1164442919) is a healthcare organization registered as an internal medicine in Peabody, Massachusetts and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Matthew J Narrett, Senior Vp And Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1164442919
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC
Location Address100 BROOKSBY VILLAGE DRPeabody, MA 01960-1438
Mailing Address5730 Executive Dr Ste 230Catonsville, MD 21228-1762 · (978) 536-7850 · Fax (978) 536-7851
Fax(978) 536-7051
Organization SubpartNo
Authorized OfficialMatthew J NarrettSenior Vp And Chief Medical Officer · (410) 402-2257
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 10, 2023
NPPES CertifiedAugust 10, 2023
✔ NPI 1164442919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X
100 BROOKSBY VILLAGE DR, Peabody, MA 01960

Other Names 1

Other NameBrooksby Medical Center

Other Identifiers 3

Other1427124015Bcbs Of Ma
Medicaid9731610MA
OtherM17596Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooksby Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Brooksby Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner5
Internal Medicine4
Podiatry3
Clinical Social Worker2
Family Practice1
Geriatric Medicine1
Hospice/Palliative Care1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1346304060
100 BROOKSBY VILLAGE DR
Peabody, MA 01960
(978) 536-7850
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1760449706
100 BROOKSBY VILLAGE DR
Peabody, MA 01960
(978) 536-7850
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1174505507
100 BROOKSBY VILLAGE DRIVE BROOKSBY MEDICAL CLINIC
Peabody, MA 01960
(978) 536-7850
✔ PECOS✔ Accepts Medicare0.2 mi
Hospice/Palliative Care
NPI 1154337681
100 BROOKSBY VILLAGE DR
Peabody, MA 01960
(978) 536-7580
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1013144831
100 BROOKSBY VILLAGE DR
Peabody, MA 01960
(978) 536-7850
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1629515655
100 BROOKSBY VILLAGE DR
Peabody, MA 01960
(978) 536-7850
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1932380052
142 BERKELEY ST
Boston, MA 02116
(617) 247-7555
✔ PECOS✔ Accepts Medicare15 mi
Podiatry
NPI 1265546212
62 BROWN ST STE 206
Haverhill, MA 01830
(978) 556-9700
✔ PECOS✔ Accepts Medicare15 mi
Podiatry
NPI 1376557942
45 DIMOCK ST
Roxbury, MA 02119
(617) 442-8800
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1528114550
398 NEPONSET AVE
Dorchester, MA 02122
(617) 282-3200
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1376798728
300 LINDEN PONDS WAY
Hingham, MA 02043
(781) 534-7100
✔ PECOS✔ Accepts Medicare25 mi
Internal Medicine
NPI 1760412613
300 LINDEN PONDS WAY
Hingham, MA 02043
(781) 534-7100
✔ PECOS✔ Accepts Medicare25 mi
Clinical Social Worker
NPI 1245745678
300 LINDEN PONDS WAY
Hingham, MA 02043
(781) 534-7100
✔ PECOS✔ Accepts Medicare25 mi
Geriatric Medicine
NPI 1477516516
300 LINDEN PONDS WAY
Hingham, MA 02043
(781) 534-7100
✔ PECOS✔ Accepts Medicare25 mi
Podiatry
NPI 1497861587
340 MAPLE ST STE 405
Marlborough, MA 01752
(508) 481-3659
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1982486239
1275 S BROADWAY
East Providence, RI 02914
(401) 438-7020
✔ PECOS✔ Accepts Medicare55 mi
Internal Medicine
NPI 1144293838
711 MAIDEN CHOICE LN
Catonsville, MD 21228
(410) 247-5602
✔ PECOS376 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D0974796

Erickson Health Medical Group Of Massachusetts · Peabody, MA
Active · expires Apr 28, 2028
CLIA Number22D0974796
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorDr. Phyllis R. Fine
Laboratory Phone(978) 536-7850
Laboratory LocationErickson Health Medical Group Of Massachusetts100 Brooksby Village Drive, Peabody, MA 01960
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erickson Health Medical Group Of Massachusetts PC's NPI number?

The NPI number for Erickson Health Medical Group Of Massachusetts PC is 1164442919. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is also known as Brooksby Medical Center.

Where is Erickson Health Medical Group Of Massachusetts PC located?

Erickson Health Medical Group Of Massachusetts PC is located at 100 Brooksby Village Dr, Peabody, MA 01960. The listed phone number is (978) 536-7850.

What is Erickson Health Medical Group Of Massachusetts PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erickson Health Medical Group Of Massachusetts PC enrolled in Medicare?

Yes. Erickson Health Medical Group Of Massachusetts PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erickson Health Medical Group Of Massachusetts PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 7 Medicare specialties reassign their Medicare billing to Erickson Health Medical Group Of Massachusetts PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Internal Medicine (4) and Podiatry (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Erickson Health Medical Group Of Massachusetts PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0974796) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Erickson Health Medical Group Of Massachusetts PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Erickson Health Medical Group Of Massachusetts PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erickson Health Medical Group Of Massachusetts PC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.